9/30/13 ::: Citibank Payment Gateway ::: https://nationalskillsregistry.com/nasscom/pg/OnlinePayment 1/1 (ITP Web Registration Acknowledgement Form) Date:______________ TIN NO: ACK NO. 113974711T Please affix your latest Photograph Signature (Please sign in the centre of the box) Name of Applicant : Mr SANJAY RAMESHBHAI PANCHAL Date of Birth : 29-Nov-1984 Mode of Payment : Payment by Online (र 337) Employer Name : Evolutionary Systems Private Limited Employee Number : AHM-098 Valid Up To Date : 19/11/2013 Note : * To complete your registration please visit any Point of Service (POS) office. If you do not complete your registration within 50 days of issuance of Acknowledgement Number, your data will be purged from the system. * You need to take print-out of this form to the POS along-with ORIGINAL proof of Photo Identity [Voter's Id card/Passport/Driving License/Bank Pass Book (with Photo)/College ID card (not more than 4 years old)/PAN card/Employment Identity Card]. * I have read, understood and I agree to the terms and conditions available on NSR website https:\\nationalskillsregistry.com relating to my joining and using NSR and I agree to the same. ACKNOWLEDGEMENT SLIP(For the use of POS only) TIN NO : Ack No : 113974711T POS ID : Name of Applicant : Mr SANJAY RAMESHBHAI PANCHAL 1. Received the Application form for Registration as ITP in the National Skills Registry and payment made by ITP for Registration is Payment through Online. Date:___________ (POS Seal and Signature) Print
(ITP Web Registration Acknowledgement Form) Date:______________
TIN NO: ACK NO. 113974711T
Please affix your
latest Photograph
Signature(Please sign in the centre of the box)
Name of Applicant :Mr SANJAY RAMESHBHAI PANCHALDate of Birth
:29-Nov-1984Mode of Payment :Payment by Online ( 337)Employer Name
:Evolutionary Systems Private LimitedEmployee Number :AHM-098Valid
Up To Date :19/11/2013
Note :* To complete your registration please visit any Point of
Service (POS) office. If you do not complete yourregistration
within 50 days of issuance of Acknowledgement Number, your data
will be purged from the system. * You need to take print-out of
this form to the POS along-with ORIGINAL proof of Photo Identity
[Voter's Idcard/Passport/Driving License/Bank Pass Book (with
Photo)/College ID card (not more than 4 years
old)/PANcard/Employment Identity Card].* I have read, understood
and I agree to the terms and conditions available on NSR
websitehttps:\\nationalskillsregistry.com relating to my joining
and using NSR and I agree to the same.
ACKNOWLEDGEMENT SLIP(For the use of POS only)
TIN NO : Ack No : 113974711T
POS ID :
Name of Applicant : Mr SANJAY RAMESHBHAI PANCHAL
1. Received the Application form for Registration as ITP in the
National Skills Registry and paymentmade by ITP for Registration is
Payment through Online.
